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General NPI Number Information
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NPI Number | 1609257823
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Entity Type | Organization
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Legal Business Name | COCHLEAR CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 5282 MEDICAL DR STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4983
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Country | US
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Telephone | 303-264-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 5282 MEDICAL DR STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4983
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Country | US
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Telephone | 210-474-6766
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Fax |
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Authorized Official
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Title or Position | AO
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Name | DAMON BOYCE
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Credential |
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Telephone | 800-216-9178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80366
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License Number State | TX
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